Brenda Radford, LMSW | |
6549 Town Center Dr Ste A, Clarkston, MI 48346-4824 | |
(248) 620-6400 | |
(248) 620-6405 |
Full Name | Brenda Radford |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 6549 Town Center Dr Ste A, Clarkston, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952771339 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6801060816 (Michigan) | Primary |
1041C0700X | Social Worker - Clinical | 009137 (Connecticut) | Secondary |
Entity Name | Vitae Health Medical Michigan Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629695283 PECOS PAC ID: 7810309325 Enrollment ID: O20201207001413 |
Mailing Address | Practice Location Address |
---|---|
Brenda Radford, LMSW 6549 Town Center Dr Ste A, Clarkston, MI 48346-4824 Ph: (248) 620-6400 | Brenda Radford, LMSW 6549 Town Center Dr Ste A, Clarkston, MI 48346-4824 Ph: (248) 620-6400 |
Carrie Stollman, LLMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6549 Town Center Dr Ste A, Clarkston, MI 48346 Phone: 248-620-6400 | |
Lorie Hertzler Moran, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6300 Sashabaw Rd Ste B, Clarkston, MI 48346 Phone: 248-496-0696 | |
Kristin Minnich, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7151 N Main St Ste 100, Clarkston, MI 48346 Phone: 248-922-7419 | |
Devin Hamilton, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6549 Town Center Dr Ste A, Clarkston, MI 48346 Phone: 248-620-6400 Fax: 248-620-6405 | |
Amelia C Jackson, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6549 Town Center Dr, Suite A, Clarkston, MI 48346 Phone: 248-620-6400 Fax: 248-620-6405 | |
Susan Knapp, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6549 Town Center Dr, Clarkston, MI 48346 Phone: 248-620-6400 | |
Vanessa Norwood, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6549 Town Center Dr Ste A, Clarkston, MI 48346 Phone: 800-395-3223 |